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NeurologyChannel

Associated Neurologists in Danbury CT, Southbury CT, and Waterbury CT

Events

Registration for TDCS Informational Session

If you have received an invitation and would like to register for our free, no-obligation informational session, please complete the secure form below.

Please be sure to provide all of the following information when completing this form:

  • Your Name
  • Your Email Address
  • In the Comments Box, please include:
    • Your Relationship to the Patient -- for example:
      • Self; Spouse; Adult; Child; Sibling; Primary Caregiver; Friend
    • Patient Name (if you are not the patient)
    • Patient Date of Birth
    • Daytime Phone Number
    • Date of the Session You Would Like to Attend:
      • Tuesday, June 28th, 6:00 pm
      • Thursday, June 30th, 3:00 pm

    Thank you for your interest. We look forward to seeing you at our upcoming TDCS Informational Session in our Danbury office.


    Secure Contact Form

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